Contemporary Problems of Social Work Современные проблемы социальной работы academic journal

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VOLUME 2, No. 1, 2016
In turn leasing represents a public-private partnership form. Therefore the possibility of 
application of leasing as instrument of investments in health care is promoted by the Order of 
the Ministry of Health of the Russian Federation No. 37 from 2/4/2015 «About the statement of 
a package of measures, aimed at the development of public-private partnership in health care, 
for 2015-2016» (with changes for December 8, 2015) [3], the Methodical recommendations 
for public authorities of subjects of the Russian Federation about use of mechanisms of state-
private interaction in health sector approved at a meeting of Coordination council of the 
Ministry of Health of the Russian Federation on state – to private partnership on March 10, 
2015 [4].
The acceptable direction of integration in health care is integration of the organizations 
of health care and commercial structures; participants are presented by medical institutions, 
investors, associations of doctors, managements of health care, bodies of the public (local) 
administration; tools have defined long-term rent, leasing of the equipment; advantages 
of realization consist in increase in the income of medical institutions and improvement 
of quality of delivery of health care due to creation of self-supporting divisions; the 
existing disintegration factors – low profitability of branch does it a little attractive to 
investors [13].
In the developed «Concept of development of health system in the Russian Federation 
till 2020» [7] is marked out, in particular, about need of increase of equipment of healthcare 
institutions by the medical equipment, about application of new forms of financing of activity 
of the medical organizations.
Now the Concept of development of private health system of the Russian Federation till 
2020 is realized [8]. in this Concept the state support of leasing of the medical equipment 
separately is considered. in private health system requirements of hardware aren't fulfilled. 
With support of leasing of the medical equipment by the state the specified problem is 
solvable.
The specified Concepts will allow purposefully, at first – to introduce leasing in health 
system, then – to systematically carry out leasing operations in the state (municipal) healthcare 
institutions; will provide by realization of the leasing relations high-quality and available 
medical care and medical services to the population [11].
Conclusion
The analysis of options of financing in health care shows, leasing of the medical equipment 
is demanded in the market of the state health care as implementation of separate medical 
projects is complicated because of the high cost of medical devices and complexes and a lack 
of financing of process of creation of this equipment. in the specified conditions participation 
of the leasing companies in acquisition of the medical equipment by the public medical 
institutions becomes necessary [14].
Studying of forms of public-private partnership in health care is presented by their variety, 
but isolation of application directly at acquisition of fixed assets in health care.
Leasing is presented in the form like concession, contracts on the basis of leasing, but it is 
a little and is insufficiently studied as the instrument of investments in health care. However 
has a number of advantages in comparison with other options of financing in health system.
Application of leasing in system health care will allow to improve a condition of health 
system:
–  function of the state on providing public service in health sector as the volume of the 
provided medical services and medical care will increase is realized;
–  the volume of commissioning of fixed assets in health system will increase;
–  quality, availability and timeliness of providing medical services and medical care on the 
modern hi-tech medical equipment and medical equipment will increase;
–  application of leasing in health system has social value;

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CONTEMPORARY PROBLEMS OF SOCIAL WORK
–  the measures aimed at the development of infrastructure and public-private partnership in 
health care for 2015-2016 approved by the Ministry of Health and reflected in other documents 
are carried out.
Also prerequisites of development of leasing in health care come to light:
–  normative legal acts on regulation of leasing activity are developed;
–  advantages of leasing at application in health system for participants of leasing process 
are presented;
–  types of concessions (with the leasing contract), contracts on the basis of leasing for 
application in health system are offered;
–  there are practices, proposals of researchers on application of leasing in health system 
and as public-private partnership forms, the leasing companies which are directly engaged in 
activity in health sector are created.
Proceeding from stated we offer:
–  detailed disclosure of features of realization of leasing in health care in the separate 
normative legal act is necessary;
–  addition, completion of the available normative legal acts in the sphere of public-private 
partnership in health care regarding leasing use;
–  training of specialists in the sphere of leasing activity, competent for all participants of 
leasing process;
–  creation of the leasing company which activity is regulated by structure and is carried out 
for health system;
–  publicity, availability and clearness in providing information on leasing, public-private 
partnership in health system for participants and the population.
Gratitude
I express gratitude to organizers of conference for the invitation to such important and 
significant scientific action devoted to memory A.P. Pochinok.
A.P. Pochinok it is known as the Russian statesman, the economist, I held significant 
posts: The Minister of Taxes and Tax Collection (1999–2000), the Minister of labor and social 
development (2000–2004), since 1997 – professor of Tax policy department of the Russian 
economic academy of G.V. Plekhanov, have made a contribution to development of Russia, 
carrying out social and pension reforms. The role A.P. Pochinok in creation of RGSU as university 
of federal importance is also essential. RGSU is important state educational institution of 
Russia, the first social university which trains experts of the top skills in the sphere of social 
projects. I thank the Rector of RSSU of Pochinok Natalya Borisovna for an opportunity to study 
in postgraduate study of RSSU of one of the largest Moscow universities.
For councils, support and the help in writing of the scientific article I express separate 
words of gratitude to my research supervisor – the Doctor of Economics, professor Kurbanov 
Tokhirdzhon Hakimovich.
References
1.  About the Statement of a Package of Measures, Aimed at the Development of Public-Private 
Partnership in Health Care for 2015-2016: the Order of the Russian Ministry of Health from 
2/4/2015. No. 37.
2.  Buranbayeva L.Z., Yandavletova D. H. Leasing of the Medical Equipment As a Factor of 
Development of the Leasing Relations Between Financial Credit Institutions and the 
Organizations in Health Sector / L.Z.Buranbayeva, D.H. Yandavletova//Problems of modern 
economy. 2012. No. 3.
3.  Buranbayeva L.Z., Yandavletova D. H. Leasing in Health System: State, Problems and Tendency 
/ L.Z.Buranbayeva, D.H. Yandavletova // Problems of Modern Economy. 2015. No. 1.
4.  Concepts of Development of Health System in the Russian Federation till 2020.
5.  Concepts of Development of Private Health System in the Russian Federation till 2020.

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